Active NPI
Alyson Buck, PA-C
- Medical Physician Assistant
- North Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 001951
- Practice address
- 15 Country Way
North Haven, CT 06473-2415 - Phone
- (267) 312-3142
- NPI assigned
- Sep 11, 2007
- Last updated
- Aug 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001951 | CT | Primary |
Addresses
Primary practice location
15 Country Way
North Haven, CT 06473-2415
Mailing address
15 Country Way
North Haven, CT 06473-2415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1951 | CT | MD | Chiropractor |
| 001951 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middlesex Hospital | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Yale University | Current | Accepting new patients | |
| Connecticut Children's Specialty Group, Inc. | Current | Accepting new patients | |
| Connecticut Pathology Group PC | Current | Accepting new patients | |
| Middlesex Hospital | Current | Accepting new patients | |
| Saint Raphael Healthcare System Affiliated Physicians Inc | Past | Accepting new patients | |
| Saint Raphael Faculty Physicians | Past | Accepting new patients |
Locations
10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619
282 Washington St
Hartford, CT 06106
Phone (860) 545-8950
28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000
90 S Main St
Middletown, CT 06457
Phone (860) 358-6300
1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
Interoperability endpoints
- abuck18569@middlesexhealthprd.direct-ci.com
- abuck64348@direct.ynhh.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Middlesex Hospital dba Family Practice Group
- Family Medicine Physician
- Middletown, CT
- NPI 1851350664
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Anatomic Pathology & Clinical Pathology Physician
- Middletown, CT
- NPI 1740219625
-
dba Middlesex Hospital Homecare and Hospice
- Community Based Hospice Care Agency
- Middletown, CT
- NPI 1003873233
-
- Adult Mental Health Clinic/Center
- Hamden, CT
- NPI 1134391824
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
-
- Internal Medicine Physician
- New Haven, CT
- NPI 1932138138
-
dba Affiliated Physicians of Saint Raphael
- Neurology Physician
- New Haven, CT
- NPI 1063744001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470960000000",
"number": "1053506295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 COUNTRY WAY",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COUNTRY WAY",
"city": "NORTH HAVEN",
"state": "CT",
"postal_code": "064732415",
"telephone_number": "267-312-3142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "ALYSON",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2016-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CT",
"license": "001951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.